Preparation of composite retentive areas for removable partial denture retainers

A method is presented in which light-polymerized composite material is used to obtain retention for a removable partial denture when usable natural tooth undercuts are unavailable. The desired contour is waxed on a diagnostic cast with the use of a surveyor, captured in a light-polymerizing temporary restorative material, and reproduced in composite resin on the abutment teeth.

Fadiga de grampos de retenção em prótese parcial removível. Efeito de ligas, espessuras e técnicas de fusão. Parte II.

The authors tested the T clasp of Roach in three differents proportions among width and thickness: E1-1.7; E2-2.0 and E3-2.3, with a constant length of 15 mm. These clasps were casted with three cobalt-chromium alloys (L1-Biosil; L2-Steldent and L3-Duracrom), through two casting techniques (F1-oxygen-gas and F2-oxygen-acetylene). The fatigue of the clasps were verified by using and assay machine, that through movements, simulate the insertion and removal of the clasps for a pattern which were obtained from a premolar, prepared in a surveyor. This machine detect the fatigue of the clasps and count the number of cycles of insertion and removal realized. The obtained results of the interaction between the analysed factors, were submitted to the statistic analysis and the authors concluded that: a) the interaction of factors, Alloy x Thickness, Alloy x Casting Technique and Thickness x Casting Technique did not change the order of effects that the factors showed separately but gave rise to effects of different magnitude for any observed sense; b) the simultaneous interaction of the factors Alloy x Thickness x Casting Technique confirmed the superiority of the L3 alloy, the thickness E3 and the F2 casting technique.

Dual path: A concept to improve the esthetic replacement of missing anterior teeth with a removable partial denture

The dual path of insertion concept for removable partial denture (RPD) design may be used in esthetically demanding situations. When compared to conventional RPDs, the main advantage of this design is the minimal use of clasps. This clinical report describes the treatment of a patient with an anterior maxillary edentulous area using a dual path RPD. The diagnostic cast was surveyed to ensure the adequacy of the undercuts on the mesial surfaces of the anterior abutments, where rigid minor connectors were placed. Inverted V-shaped canine cingulum rest seats were prepared to provide resistance to tooth movement during function. The dual path RPD concept allows excellent esthetic results, minimizes tooth preparation, and reduces the tendency toward plaque accumulation in a Kennedy class IV partially edentulous arch. © 2008 by The American College of Prosthodontists.

Evaluation of a new intraoral paralleling device for creating guiding planes: A pilot study

Aim: The aim of the study was to assess the accuracy of a new intraoral paralleling device for creating proximal guiding planes for removable partial dental prostheses. Methods and Materials: Thirty gypsum casts were divided into two groups in which the proximal surfaces of selected teeth were prepared using either a surveying device (Group 1) or the new ParalAB paralleling device (Group 2). In each cast guiding planes were prepared on the distal surface of the maxillary left canine (A), on the mesial and distal surfaces of the maxillary left second molar (B and C), and on the distal surface of the maxillary right canine (D). Each prepared surface formed an angle related to the occlusal plane that was measured five times and averaged by one operator using a tridimensional coordinate machine. Results: The mean guiding plane angles (± standard deviation) for the prepared surfaces were A=91.82° (±0.48°, B=90.47° (±0.47°, C=90.21° (±0.76°, and D=90.50° (±0.73°) for the dental surveyor (Group 1) and A=92.18° (±0.87°), B=90.90° (±0.85°), C=90.07° (±0.92°), and D=90.66° (±0.76°) for the ParalAB paralleling device (Group 2). A two-way ANOVA, Tukey's, and Levène's tests (at p<0.05) revealed statistically significant differences among surfaces prepared by both groups and that one surface Conclusions: The ParalAB device was able to prepare parallel surfaces and despite significant difference between groups, the ParalAB presented a small deviation from absolute parallelism and can be considered a valid method to transfer guide plans in the fabrication of removable partial dentures. Clinical Significance: The preparation of suitable guiding planes on abutment teeth during the fabrication of removable partial dentures is dependent on the ability of the operator and requires considerable chair time. When multiple teeth are involved, achieving parallelism between abutment surfaces can be technically challenging, especially in posterior regions of the mouth. The ParalAB prototype intraoral paralleling device can aid the clinician during the preparation of accurate guiding planes with a minimum degree of occlusal divergence. © 2010 Seer Publishing LLC.

Desenvolvimento de um paralelizador intra-oral e verificação de sua precisão como método de transferência de planos de guia: Estudo laboratorial

Pós-graduação em Odontologia Restauradora - ICT